What Happened
HealthEdge and Peraton Advance in Seven-Year Competition
The Centers for Medicare and Medicaid Services has chosen HealthEdge and Peraton to move forward in a competition for a potential seven-year contract to help stand up a new software system for processing and adjudicating Medicare claims. The ClaimsCore system aims to support over 2 million active users and process more than 100,000 claims per day, replacing four legacy systems built in the 1970s. HealthEdge’s portion of the contract has an initial $2.5 billion obligation and a $1.1 billion ceiling, while Peraton’s allocation was initially obligated $9.1 million with a potential value of $825 million. The final decision is expected by January 1, 2027, as reported by Washington Technology.